| Kathryn Mary Wallace, APRN, BC | |
|
2640 Hamstrom Rd, Portage, IN 46368-3832 | |
| (219) 762-4423 | |
| (219) 763-3120 |
| Full Name | Kathryn Mary Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2640 Hamstrom Rd, Portage, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407965320 | NPI | - | NPPES |
| 200056120A | Medicaid | IN | |
| 500004228 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71000473A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Mary Wallace, APRN, BC 2640 Hamstrom Rd, Portage, IN 46368-3832 Ph: (219) 762-4423 | Kathryn Mary Wallace, APRN, BC 2640 Hamstrom Rd, Portage, IN 46368-3832 Ph: (219) 762-4423 |
Lauren A Ostrowski-winkler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3564 Scottsdale St, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-3251 | |
Roxanne Gayle Robinson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3691 Willowcreek Rd, Portage, IN 46368 Phone: 219-921-1444 Fax: 219-921-5303 | |
Jeanne B Schramm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3175 Lancer St, Portage, IN 46368 Phone: 219-762-9571 | |
Sara Elizabeth Berry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6450 Us Highway 6, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-6348 | |
Sheila Watson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6628 | |
Jessica Rose Baldwin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 | |
Patricia Evelyn Biel, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6385 Fax: 219-703-6787 |